Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.42 / $4.42 / $4.42	Facility		$4.42	$4.42	$4.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.42 / $7.04 / $30.00	Professional		$4.42	$7.04	$30.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.61 / $7.61 / $12.56	Facility		$7.61	$7.61	$12.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.61 / $8.67	Professional		$7.08	$7.61	$8.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.61 / $16.29 / $16.29	Facility		$7.61	$16.29	$16.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.73 / $24.22 / $32.19	Facility		$20.73	$24.22	$32.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $11.25 / $14.40	Professional		$3.11	$11.25	$14.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $6.27 / $7.99	Facility		$4.37	$6.27	$7.99
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $7.61 / $7.61 / $12.30	Professional		$7.61	$7.61	$12.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.42 / $6.27 / $14.54	Facility		$4.42	$6.27	$14.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $4.30 / $41.29	Professional		$3.50	$4.30	$41.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.41 / $65.00 / $85.00	Professional		$4.41	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $6.27 / $7.99	Facility		$4.37	$6.27	$7.99
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $7.61 / $7.61 / $12.30	Professional		$7.61	$7.61	$12.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.61 / $11.42 / $20.00	Professional		$7.61	$11.42	$20.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15.45 / $17.13 / $90.00	Facility		$15.45	$17.13	$90.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $33.44 / $148.41	Professional		$3.11	$33.44	$148.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.61 / $7.61 / $7.61	Professional		$7.61	$7.61	$7.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.61 / $7.61 / $20.49	Professional		$7.61	$7.61	$20.49
United Facility/Professional Professional Modifier Low / Median / High Price $3.17 / $3.80 / $6.33	Professional		$3.17	$3.80	$6.33